{"id":6892,"date":"2026-06-12T16:20:36","date_gmt":"2026-06-12T14:20:36","guid":{"rendered":"https:\/\/www.imagimedia.fr\/examen-adequation\/?page_id=6892"},"modified":"2026-09-07T05:48:26","modified_gmt":"2026-09-07T03:48:26","slug":"demande-de-contact-grands-comptes","status":"publish","type":"page","link":"https:\/\/www.imagimedia.fr\/examen-adequation\/demande-de-contact-grands-comptes\/","title":{"rendered":"Demande de contact &#8211; Grands Comptes"},"content":{"rendered":"\n<div class=\"wp-block-uagb-container uagb-block-05ac6e38 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<h1 class=\"page-title-bis\">Devis <span>pack de cr\u00e9dits<\/span><\/h1>\n<\/div><\/div>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:18px\"><strong>Vous souhaitez conna\u00eetre le co\u00fbt des packs d&rsquo;examen d&rsquo;ad\u00e9quation en ligne adapt\u00e9s \u00e0 la volum\u00e9trie de votre flotte d&rsquo;engins ?<\/strong><br>Renseignez vos informations et recevez rapidement votre devis personnalis\u00e9.<\/p>\n\n\n\n<div style=\"height:45px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-0b914ec5 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-e164f55f\">\n<h3 class=\"wp-block-heading has-text-align-center\" style=\"font-size:30px\">ABONNEMENT<br>GRANDS COMPTES<\/h3>\n\n\n\n<p class=\"has-text-align-center has-medium-font-size wp-block-paragraph\" style=\"font-style:normal;font-weight:600\">Grandes entreprises et parcs d&rsquo;engins<\/p>\n\n\n\n<ul class=\"wp-block-list list-price\">\n<li>Acc\u00e8s \u00e0 vos examens en ligne<strong> \u00e0 prix r\u00e9duit<\/strong><\/li>\n\n\n\n<li>Mise \u00e0 jour illimit\u00e9e<\/li>\n\n\n\n<li>Toute cat\u00e9gorie de mat\u00e9riels confondue<\/li>\n\n\n\n<li>Ajout rapide de nouveaux examens<\/li>\n\n\n\n<li>Enregistrement \u00ab\u00a0brouillon\u00a0\u00bb (reprise ult\u00e9rieure)<\/li>\n\n\n\n<li>Archivages des rapports d&rsquo;examen<\/li>\n\n\n\n<li>Recherche rapide par engins, date ou version<\/li>\n\n\n\n<li>Export Pdf pour preuve documentaire<\/li>\n\n\n\n<li>Compte priv\u00e9 et s\u00e9curis\u00e9<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-table table-price-abo has-small-font-size\"><table class=\"has-fixed-layout\"><thead><tr><th class=\"has-text-align-center\" data-align=\"center\"><strong>Premi\u00e8re ann\u00e9e<\/strong><\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>Ann\u00e9e suivante<\/strong><\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>OFFERTE<\/strong><br>Activation automatique d\u00e8s l&rsquo;achat de vos premiers cr\u00e9dits<\/td><td class=\"has-text-align-center\" data-align=\"center\"><strong>490,00 \u20ac<\/strong> HT \/ an<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"has-text-align-center has-custom-css wp-custom-css-13515ae1 wp-block-paragraph\" style=\"font-size:13px\"><em>L\u2019abonnement \u00e0 la plateforme permet d&rsquo;acc\u00e9der aux examens en ligne.<\/em><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-f0845b30\">\n<h3 class=\"wp-block-heading has-text-align-center pack\" style=\"font-size:28px\">Cr\u00e9dits d&rsquo;examens en ligne<\/h3>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Demande de devis (\u00e0 partir de <strong>10<\/strong> engins)<\/p>\n\n\n\n<div style=\"height:5px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<script>\nvar 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class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_3' id='gform_3'  action='\/examen-adequation\/wp-json\/wp\/v2\/pages\/6892#gf_3' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_page_3_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_3_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_6'>Soci\u00e9t\u00e9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_3_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_9\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_9'>Site<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_3_9' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8212; D\u00e9partement &#8212;<\/option><option value='01 - Ain' >01 &#8211; Ain<\/option><option value='02 - Aisne' >02 &#8211; Aisne<\/option><option value='03 - Allier' >03 &#8211; Allier<\/option><option value='04 - Alpes-de-Haute-Provence' >04 &#8211; Alpes-de-Haute-Provence<\/option><option value='05 - Hautes-Alpes' >05 &#8211; Hautes-Alpes<\/option><option value='06 - Alpes-Maritimes' >06 &#8211; Alpes-Maritimes<\/option><option value='07 - Ard\u00e8che' >07 &#8211; Ard\u00e8che<\/option><option value='08 - Ardennes' >08 &#8211; Ardennes<\/option><option value='09 - Ari\u00e8ge' >09 &#8211; Ari\u00e8ge<\/option><option value='10 - Aube' >10 &#8211; Aube<\/option><option value='11 - Aude' >11 &#8211; Aude<\/option><option value='12 - Aveyron' >12 &#8211; Aveyron<\/option><option value='13 - Bouches-du-Rh\u00f4ne' >13 &#8211; Bouches-du-Rh\u00f4ne<\/option><option value='14 - Calvados' >14 &#8211; Calvados<\/option><option value='15 - Cantal' >15 &#8211; Cantal<\/option><option value='16 - Charente' >16 &#8211; Charente<\/option><option value='17 - Charente-Maritime' >17 &#8211; Charente-Maritime<\/option><option value='18 - Cher' >18 &#8211; Cher<\/option><option value='19 - Corr\u00e8ze' >19 &#8211; Corr\u00e8ze<\/option><option value='21 - C\u00f4te-d&#039;Or' >21 &#8211; C\u00f4te-d&#039;Or<\/option><option value='22 - C\u00f4tes-d&#039;Armor' >22 &#8211; C\u00f4tes-d&#039;Armor<\/option><option value='23 - Creuse' >23 &#8211; Creuse<\/option><option value='24 - Dordogne' >24 &#8211; Dordogne<\/option><option value='25 - Doubs' >25 &#8211; Doubs<\/option><option value='26 - Dr\u00f4me' >26 &#8211; Dr\u00f4me<\/option><option value='27 - Eure' >27 &#8211; Eure<\/option><option value='28 - Eure-et-Loir' >28 &#8211; Eure-et-Loir<\/option><option value='29 - Finist\u00e8re' >29 &#8211; Finist\u00e8re<\/option><option value='30 - Gard' >30 &#8211; Gard<\/option><option value='31 - Haute-Garonne' >31 &#8211; Haute-Garonne<\/option><option value='32 - Gers' >32 &#8211; Gers<\/option><option value='33 - Gironde' >33 &#8211; Gironde<\/option><option value='34 - H\u00e9rault' >34 &#8211; H\u00e9rault<\/option><option value='35 - Ille-et-Vilaine' >35 &#8211; Ille-et-Vilaine<\/option><option value='36 - Indre' >36 &#8211; Indre<\/option><option value='37 - Indre-et-Loire' >37 &#8211; Indre-et-Loire<\/option><option value='38 - Is\u00e8re' >38 &#8211; Is\u00e8re<\/option><option value='39 - Jura' >39 &#8211; Jura<\/option><option value='40 - Landes' >40 &#8211; Landes<\/option><option value='41 - Loir-et-Cher' >41 &#8211; Loir-et-Cher<\/option><option value='42 - Loire' >42 &#8211; Loire<\/option><option value='43 - Haute-Loire' >43 &#8211; Haute-Loire<\/option><option value='44 - Loire-Atlantique' >44 &#8211; Loire-Atlantique<\/option><option value='45 - Loiret' >45 &#8211; Loiret<\/option><option value='46 - Lot' >46 &#8211; Lot<\/option><option value='47 - Lot-et-Garonne' >47 &#8211; Lot-et-Garonne<\/option><option value='48 - Loz\u00e8re' >48 &#8211; Loz\u00e8re<\/option><option value='49 - Maine-et-Loire' >49 &#8211; Maine-et-Loire<\/option><option value='50 - Manche' >50 &#8211; Manche<\/option><option value='51 - Marne' >51 &#8211; Marne<\/option><option value='52 - Haute-Marne' >52 &#8211; Haute-Marne<\/option><option value='53 - Mayenne' >53 &#8211; Mayenne<\/option><option value='54 - Meurthe-et-Moselle' >54 &#8211; Meurthe-et-Moselle<\/option><option value='55 - Meuse' >55 &#8211; Meuse<\/option><option value='56 - Morbihan' >56 &#8211; Morbihan<\/option><option value='57 - Moselle' >57 &#8211; Moselle<\/option><option value='58 - Ni\u00e8vre' >58 &#8211; Ni\u00e8vre<\/option><option value='59 - Nord' >59 &#8211; Nord<\/option><option value='60 - Oise' >60 &#8211; Oise<\/option><option value='61 - Orne' >61 &#8211; Orne<\/option><option value='62 - Pas-de-Calais' >62 &#8211; Pas-de-Calais<\/option><option value='63 - Puy-de-D\u00f4me' >63 &#8211; Puy-de-D\u00f4me<\/option><option value='64 - Pyr\u00e9n\u00e9es-Atlantiques' >64 &#8211; Pyr\u00e9n\u00e9es-Atlantiques<\/option><option value='65 - Hautes-Pyr\u00e9n\u00e9es' >65 &#8211; Hautes-Pyr\u00e9n\u00e9es<\/option><option value='66 - Pyr\u00e9n\u00e9es-Orientales' >66 &#8211; Pyr\u00e9n\u00e9es-Orientales<\/option><option value='67 - Bas-Rhin' >67 &#8211; Bas-Rhin<\/option><option value='68 - Haut-Rhin' >68 &#8211; Haut-Rhin<\/option><option value='69 - Rh\u00f4ne' >69 &#8211; Rh\u00f4ne<\/option><option value='70 - Haute-Sa\u00f4ne' >70 &#8211; Haute-Sa\u00f4ne<\/option><option value='71 - Sa\u00f4ne-et-Loire' >71 &#8211; Sa\u00f4ne-et-Loire<\/option><option value='72 - Sarthe' >72 &#8211; Sarthe<\/option><option value='73 - Savoie' >73 &#8211; Savoie<\/option><option value='74 - Haute-Savoie' >74 &#8211; Haute-Savoie<\/option><option value='75 - Paris' >75 &#8211; Paris<\/option><option value='76 - Seine-Maritime' >76 &#8211; Seine-Maritime<\/option><option value='77 - Seine-et-Marne' >77 &#8211; Seine-et-Marne<\/option><option value='78 - Yvelines' >78 &#8211; Yvelines<\/option><option value='79 - Deux-S\u00e8vres' >79 &#8211; Deux-S\u00e8vres<\/option><option value='80 - Somme' >80 &#8211; Somme<\/option><option value='81 - Tarn' >81 &#8211; Tarn<\/option><option value='82 - Tarn-et-Garonne' >82 &#8211; Tarn-et-Garonne<\/option><option value='83 - Var' >83 &#8211; Var<\/option><option value='84 - Vaucluse' >84 &#8211; Vaucluse<\/option><option value='85 - Vend\u00e9e' >85 &#8211; Vend\u00e9e<\/option><option value='86 - Vienne' >86 &#8211; Vienne<\/option><option value='87 - Haute-Vienne' >87 &#8211; Haute-Vienne<\/option><option value='88 - Vosges' >88 &#8211; Vosges<\/option><option value='89 - Yonne' >89 &#8211; Yonne<\/option><option value='90 - Territoire de Belfort' >90 &#8211; Territoire de Belfort<\/option><option value='91 - Essonne' >91 &#8211; Essonne<\/option><option value='92 - Hauts-de-Seine' >92 &#8211; Hauts-de-Seine<\/option><option value='93 - Seine-Saint-Denis' >93 &#8211; Seine-Saint-Denis<\/option><option value='94 - Val-de-Marne' >94 &#8211; Val-de-Marne<\/option><option value='95 - Val-d&#039;Oise' >95 &#8211; Val-d&#039;Oise<\/option><\/select><\/div><\/div><fieldset id=\"field_3_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_2col gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Taille du parc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_13'>\n\t\t\t<div class='gchoice gchoice_3_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='10 et 19 engins'  id='choice_3_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_0' id='label_3_13_0' class='gform-field-label gform-field-label--type-inline'>10 et 19 engins<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='20 \u00e0 49 engins'  id='choice_3_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_1' id='label_3_13_1' class='gform-field-label gform-field-label--type-inline'>20 \u00e0 49 engins<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='50 et 99 engins'  id='choice_3_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_2' id='label_3_13_2' class='gform-field-label gform-field-label--type-inline'>50 et 99 engins<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='100 \u00e0 150 engins'  id='choice_3_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_3' id='label_3_13_3' class='gform-field-label gform-field-label--type-inline'>100 \u00e0 150 engins<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='plus de 150 engins'  id='choice_3_13_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_4' id='label_3_13_4' class='gform-field-label gform-field-label--type-inline'>plus de 150 engins<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_26\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_3col gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Type de mat\u00e9riel et d&#039;engin<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_26'><div class='gchoice gchoice_3_26_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.1' type='checkbox'  value='Chariot \u00e9l\u00e9vateur'  id='choice_3_26_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_26_1' id='label_3_26_1' class='gform-field-label gform-field-label--type-inline'>Chariot \u00e9l\u00e9vateur<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_26_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.2' type='checkbox'  value='Gerbeur'  id='choice_3_26_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_26_2' id='label_3_26_2' class='gform-field-label gform-field-label--type-inline'>Gerbeur<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_26_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.3' type='checkbox'  value='Pont roulant'  id='choice_3_26_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_26_3' id='label_3_26_3' class='gform-field-label gform-field-label--type-inline'>Pont roulant<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_3_23' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Suivant'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_2' class='gform_page' data-js='page-field-id-23' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><fieldset id=\"field_3_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_3col gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Abonnement plateforme EXADEQ\u00ae<\/legend><div class='gfield_description' id='gfield_description_3_18'>Poss\u00e9dez-vous d\u00e9j\u00e0 un abonnement actif \u00e0 la plateforme EXADEQ\u00ae ?<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_18'>\n\t\t\t<div class='gchoice gchoice_3_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Oui'  id='choice_3_18_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_3_18\"   \/>\n\t\t\t\t\t<label for='choice_3_18_0' id='label_3_18_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Non'  id='choice_3_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_18_1' id='label_3_18_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_3col gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >R\u00e9f\u00e9rent examen d&#039;ad\u00e9quation<\/legend><div class='gfield_description' id='gfield_description_3_29'>Existe-t-il d\u00e9j\u00e0 au sein de votre service une ou plusieurs personne(s) comp\u00e9tente(s) pour r\u00e9aliser et maintenir les examens d&rsquo;ad\u00e9quation :<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_29'>\n\t\t\t<div class='gchoice gchoice_3_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Oui'  id='choice_3_29_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_3_29\"   \/>\n\t\t\t\t\t<label for='choice_3_29_0' id='label_3_29_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Non'  id='choice_3_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_29_1' id='label_3_29_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_3col gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Formation<\/legend><div class='gfield_description' id='gfield_description_3_19'>Pensez-vous avoir besoin de former une ou plusieurs personnes en interne \u00e0 la r\u00e9alisation des examens d&rsquo;ad\u00e9quation ?<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_19'>\n\t\t\t<div class='gchoice gchoice_3_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Oui'  id='choice_3_19_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_3_19\"   \/>\n\t\t\t\t\t<label for='choice_3_19_0' id='label_3_19_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Non'  id='choice_3_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_19_1' id='label_3_19_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_19_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Ne sais pas'  id='choice_3_19_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_19_2' id='label_3_19_2' class='gform-field-label gform-field-label--type-inline'>Ne sais pas<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3_25' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  \/> <input type='button' id='gform_next_button_3_25' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Suivant'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_3' class='gform_page' data-js='page-field-id-25' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_3_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_7'>Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_3_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_8'>Pr\u00e9nom<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_3_8' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_11'>Fonction<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_3_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_2'>E-mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_3_2' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_3_5\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_5'>Demande d&#039;action<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_3_5' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='-- S\u00e9lectionner --' >&#8212; S\u00e9lectionner &#8212;<\/option><option value='\u00catre rappel\u00e9' >\u00catre rappel\u00e9<\/option><option value='Obtenir un devis rapide par email' >Obtenir un devis rapide par email<\/option><\/select><\/div><\/div><fieldset id=\"field_3_28\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse du devis<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address gform-grid-row' id='input_3_28' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3_28_1_container' >\n                                        <label for='input_3_28_1' id='input_3_28_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse 1<\/label>\n                                        <input type='text' name='input_28.1' id='input_3_28_1' value=''    aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_3_28_2_container' >\n                                        <label for='input_3_28_2' id='input_3_28_2_label' class='gform-field-label gform-field-label--type-sub '>Adresse 2<\/label>\n                                        <input type='text' name='input_28.2' id='input_3_28_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3_28_3_container' >\n                                    <label for='input_3_28_3' id='input_3_28_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                    <input type='text' name='input_28.3' id='input_3_28_3' value=''    aria-required='false'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_28.4' id='input_3_28_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_3_28_5_container' >\n                                    <label for='input_3_28_5' id='input_3_28_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                    <input type='text' name='input_28.5' id='input_3_28_5' value=''    aria-required='false'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_28.6' id='input_3_28_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_3_17\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_17'>Num\u00e9ro de t\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_17' id='input_3_17' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_3\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_3'>Message compl\u00e9mentaire<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_3' id='input_3_3' class='textarea small'   maxlength='600'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_27\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p class=\"mention-rgpd\">En soumettant ce formulaire, vous acceptez d\u2019\u00eatre recontact\u00e9(e) par S.V.O.D. au sujet de votre demande. Vos coordonn\u00e9es pourront \u00e9galement \u00eatre utilis\u00e9es pour vous adresser des informations li\u00e9es \u00e0 nos services. D\u00e9sinscription \u00e0 tout moment. Voir notre <a href=\"https:\/\/www.imagimedia.fr\/examen-adequation\/politique-de-confidentialite\/\" target=\"_blank\">politique de confidentialit\u00e9<\/a>.<\/p><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_3' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  \/> <input type='submit' id='gform_submit_button_3' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Envoyer'  \/> <input type='hidden' name='gform_ajax' value='form_id=3&amp;title=&amp;description=&amp;tabindex=0&amp;theme=orbital&amp;styles={&quot;theme&quot;:&quot;orbital&quot;,&quot;inputBorderRadius&quot;:&quot;25&quot;,&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;,&quot;labelFontSize&quot;:&quot;16&quot;,&quot;descriptionFontSize&quot;:&quot;16&quot;,&quot;buttonPrimaryBackgroundColor&quot;:&quot;#df452c&quot;}&amp;hash=0e7730431b544067188ea2b2cfc86cf7' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_3' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_3' id='gform_theme_3' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_3' id='gform_style_settings_3' 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